MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 49-year-old man presents with bilateral swollen ankles. He is not breathless but reports frothy urine. Dipstick testing shows protein and blood, with no previous kidney tests available.
Is venous disease a sufficient explanation?
No. Oedema with urinary abnormalities requires kidney function testing, quantification of albuminuria or proteinuria and assessment for glomerular disease. Urgency depends on creatinine and its trajectory, urine output and associated features. Symptomatic treatment alone could miss a treatable cause.